{extend name="web/public/base" /}
{block name="header"}
{/block}
{block name="main"}
<section class="scrollable padder">
    <ul class="breadcrumb no-border no-radius b-b b-light pull-in">
        <li><a><i class="fa fa-home"></i> 首页</a></li>
        <li class="active">会员管理</li>
        <li class="active">{$title}</li>
    </ul>

    <div class="row">
        <div class="col-sm-12">
            <section class="panel panel-default">
                <header class="panel-heading font-bold">{$title}</header>

                <div class="panel-body">
                    <form action="{:url('')}" method="post">
                        <div class="row col-lg-12">
                            <div class="form-group col-sm-9">
                                <label>代理区域 :</label>
                                <select name="province" id="province">
                                    <option value="" class="province">--选择省--</option>
                                </select>
                                <select name="city" id="city">
                                    <option value="" class="city">--选择市--</option>
                                </select>
                                <select name="district" id="district">
                                    <option value="" class="district">--选择县、区--</option>
                                </select>
                            </div>
                            <div class="form-group col-sm-3">
                                <input type="hidden" name="uid" value="{$uid}">
                                <button type="submit" class="mui-btn">提交</button>
                            </div>
                        </div>
                    </form>
                </div>
            </section>
        </div>
    </div>
</section>
{/block}
{block name="footer"}
<script src="__PUBLIC__/area.js"></script>
<script type="text/javascript">
</script>
{/block}
